Individual
BRENDA WEILERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 W CHURCH ST, SANDWICH, IL 60548-2106
(815) 786-8653
Mailing address
4251 CHERRY RD, OSWEGO, IL 60543
(630) 636-6081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-288191
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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